• Director, Managed Markets Operations

    Otsuka America Pharmaceutical Inc. (Annapolis, MD)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (10/10/25)
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  • Provider Relations Rep

    Health Care Service Corporation (Houston, TX)
    …abilities and sound decision-making. *Knowledge of contracts, applications and products; claims processing systems. *Knowledge and experience in provider ... providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service. Required Job Qualifications: *Bachelor… more
    Health Care Service Corporation (10/10/25)
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  • Clinical Provider Auditor I (CPC)

    Elevance Health (Atlanta, GA)
    …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... and control. ​ + Reviews and conducts analysis of claims and medical records prior to payment and uses...document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as… more
    Elevance Health (10/10/25)
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  • Neuroscience Hospital Specialist (WA State…

    Otsuka America Pharmaceutical Inc. (Seattle, WA)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (10/10/25)
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  • Environmental Health and Safety Manager

    Human Technologies Corporation (Utica, NY)
    …parties. * Investigate, assess, document, and track incidents, near misses, and potential claims that may present a risk of loss to the organization, injury, or ... a 24/7 on-call protocol for immediately addressing any reported injuries. * Coordinate claims management and follow up activities with other team members related to… more
    Human Technologies Corporation (10/10/25)
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  • Associate Director, Digital Health Engagement…

    Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (10/10/25)
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  • Mail Production Specialist

    TEKsystems (Farmington, MO)
    …MO team. 8am-4:30pm CST (40 hours/week with possible OT) Mailroom process Claims mails for enterprise departments Production based environment - Open sort and ... incoming correspondence - Record specified incoming documents - Appropriately file imaged claims appeals adjustments and inferior quality imaged claims -… more
    TEKsystems (10/10/25)
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  • Ops - Senior Clerk

    MyFlorida (Jacksonville, FL)
    …service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This ... office. + Pay/validation operator and assists players in completing claims in prizes greater than $599.00. + Primary or...computer programs of the agency ie e-mail, and word processing . + Computer skills to include the ability to… more
    MyFlorida (10/10/25)
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  • Director, Clinical Revenue Compliance

    NYU Rory Meyers College of Nursing (New York, NY)
    …Experience:7+ years relevant professional level experience in a claims processing environment.Preferred Experience:Experience working in an ... Perform compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements for pre-EOB and after posting of payments. Prepare… more
    NYU Rory Meyers College of Nursing (10/10/25)
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  • Utilization Management Coordinator Remote (Strong…

    Sedgwick Government Solutions (Dallas, TX)
    …you have experience in medical records, triage, customer service, authorizations, claims and billing, patient health assessment, or other related healthcare support ... and triage as necessary. + Enter demographics and UR information into claims or clinical management system; maintains data integrity. + Obtains all necessary… more
    Sedgwick Government Solutions (10/10/25)
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